LASIK and PRK Laser Surgery

Refractive surgery changes the way light focuses on the retina of your eye. Two common types of refractive surgery are LASIK and PRK. In both procedures, an excimer laser is used to reshape the corneal curvature. Both procedures can be used to correct nearsightedness, farsightedness and astigmatism

With LASIK (Laser-Assisted In-Situ Keratomileusis), the middle portion of the cornea is treated by first lifting up the surface of the cornea. The laser is then used to reshape the exposed corneal surface. The procedure takes only a few minutes to be done.

1. Your eye is anesthetized with eye drops
2. An instrument called a microkeratome is used to create a "flap" to expose the middle layer of the cornea.
3. The laser is then used to vaporize very thin layers on this exposed corneal tissue until the eye is reshaped.
4. The flap is then "floated" back in place to restore the corneal surface.
5. Once the surgery is over, you will wear a protective eye shield for the first day.
6. You can usually return to work the next day after surgery.

With PRK (photorefractive keratectomy), the outermost layer of the cornea is removed. The laser is then used to reshape the exposed corneal surface. The procedure takes only a few minutes and is done as follows:

1. Your eye is anesthetized with eye drops
2. The outermost layer of the cornea is removed with the laser or the layer is mechanically removed with a special brush
3. The laser is then used to vaporize very thin layers on this exposed corneal tissue until the eye is reshaped.
4. Following the procedure a special contact lens is applied and is usually worn for 2-3 days.
5. It may take several days for your vision to become clear enough to drive and return to work.

Each patient is different and this question is best answered on an individual basis. Generally speaking, for low corrections, both procedures can provide excellent results. For moderate to high levels of correction, LASIK is preferred.

We can do both eyes at the same time or one eye at a time. This question is best answered on an individual basis taking into consideration your specific profile. It's good idea to consult with your optometrist to determine the best approach.

Farsightedness can be treated up to 6 diopters with the LASIK procedure. For the latest information on this exciting capability, drop me a line or call our office to obtain the most current information.

With the LASIK procedure, in most cases, you can return to work the day after surgery. With PRK, it may take several days for the vision to become clear enough to drive. That is why staying a few day stay in Montreal makes lot's of sense.  Check out the what to do in Montreal page.

I will be assess the degree of success after the operation to see what, if any, fine-tuning or enhancement surgery needs to be done to further improve your vision. Working in conjunction with the surgeon, I provide you all the follow-ups necessary to help you obtain the best possible results.

I prefer patients to be at least 18 years old, with a stable prescription. There is no
upper age limit.

Before your eye exam to determine your options for surgery you must do the following:

1. If you are wearing hard or gas permeable contacts, they must be out of your eyes at least three weeks prior to your exam.
2. Soft lenses must be out at least 48 hours.
3. Bring in your glasses to the exam if available..
   

*I will perform a full consultative eye exam after which you will be told if you are a surgical candidate and what type of procedure (LASIK or PRK) would be best for you.

1. Making an appointment on the Internet
2. Calling the office for an appointment.

*Just call us for an appointment! We will book you in as soon as we can for a consultative eye exam. This eye exam with Dr. Wootten should take about one and a half hours, and will specifically determine your chances for success with surgery. The exam consists of a thorough evaluation and analysis of your eyes. and your visual system. During your exam, Dr. Wootten will spend as much time as you need to fully answer all of your questions.

Some insurance companies do cover PRK and LASIK and if covered, it is under major medical and not a vision plan. Let us know which insurance company you deal with and we will be able to tell you if you are covered.